institution
R. Denis Russell, D.p.m., Inc.
Customized Equipment (DME) in Fountain Valley, California
NPI 1720256407

R. Denis Russell, D.p.m., Inc. is a Customized Equipment (DME) based in Fountain Valley, CA and is specialized in Customized Equipment. R. Denis Russell, D.p.m., Inc. practices in Fountain Valley, CA. The NPI Number for R. Denis Russell, D.p.m., Inc. is 1720256407 and holds a License No. E1393 (California).

The current practice location address for R. Denis Russell, D.p.m., Inc. is 11100 Warner Ave, Fountain Valley, CA and can be reached out via phone at 714-979-0313 and via fax at 714-979-0340.

Location: 11100 Warner Ave, Fountain Valley, CA, 92708-7506
institution
Provider Profile Details
NPI Number
1720256407
Provider Name
R. Denis Russell, D.p.m., Inc.
Credential
Provider Entity Type
Organization
Address
11100 Warner Ave, Fountain Valley, CA, 92708-7506
Phone Number
714-979-0313
Fax Number
714-979-0340
Provider Enumeration Date
02/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11100 Warner Ave
City
State
Zip
92708-7506
Phone Number
714-979-0313
Fax Number
714-979-0340
person
Provider Business Mailing Address Details
Address
11100 Warner Ave
City
State
Zip
92708-7506
Phone Number
714-979-0313
Fax Number
714-979-0340
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
E1393 (California)
Definition
Definition to come...
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